Individual
MARY R STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
3333 BURNET AVE., ML 4009, CINCINNATI, OH 45229-3039
(513) 636-7480
(513) 636-7360
Mailing address
3333 BURNET AVE., ML 5021, CINCINNATI, OH 45229-3039
(513) 636-0356
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
364SR0400X
Rehabilitation Clinical Nurse Specialist
Primary
COA.05711-NS
OH
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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